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Endocrine Examination: diabetes mellitus

Endocrine Examination: diabetes mellitus. Wimpie de Lange Div. of Endocrinology Dept. of Internal Medicine. What is Diabetes Mellitus?. DIABETES MELLITUS - History. CVS: Angina, heart failure, hypertension, intermittend claudication

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Endocrine Examination: diabetes mellitus

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  1. Endocrine Examination: diabetes mellitus Wimpie de Lange Div. of Endocrinology Dept. of Internal Medicine

  2. What is Diabetes Mellitus?

  3. DIABETES MELLITUS - History • CVS: Angina, heart failure, hypertension, intermittend claudication • GIT: “full feeling” after meals, nausea, vomiting, constipation • NEUROLOGICAL: Mononeuropathies, peripheral neuropathy, radiculopathy, transient ischemic attacks, CVA (stroke) • VISION: Blurred vision, cataracts, previous laser therapy

  4. Classification of Diabetes Mellitus: Type 1 Type 2 Type “3” Gestational

  5. DMT2: • Usually Older; • ↑ Weight ± A Nigr.; • Slow Onset; • Usually Asympt.; • Initially Non-insulin & • May present with Complications! DKA

  6. Complications of diabetes mellitus ACUTE: • Myocardial Infarction • Stroke • Critical limb ischemia • Metabolic3 CHRONIC: MicroVascular MACROVascular

  7. Erruptivexanthomata Pickup & Williams: Slide Show of Diabetes

  8. Acanthosis Nigricans

  9. Diabetic dermopathy Pickup & Williams: Slide Show of Diabetes

  10. Necrobiosis lipoidica diabeticorum Pickup & Williams: Slide Show of Diabetes

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